Key pointers:
- Not all ankle sprains are mild, some involve torn ligaments that need medical attention.
- Common signs of a ligament tear include severe pain, swelling, bruising, and instability.
- Early diagnosis through an orthopaedic consultation and imaging can prevent long-term ankle problems.
- Rest, rehabilitation, and proper footwear are key to recovery.
A “Simple” Twist That Won’t Heal
It usually starts with a misstep, a quick twist during a jog, a slip on the stairs, or an awkward landing during sport. You feel a sharp pain, it swells up, and you think, “It’s just a sprain.” But days or even weeks later, the pain hasn’t gone away. That’s when many patients realise the injury might be more serious than it first seemed.
What many people call an ankle sprain could, in fact, be a torn ligament. While both involve overstretching or damage to the ligaments that stabilise the ankle, a tear often means the fibres have been partially or completely ruptured, requiring more than just ice and rest to heal properly.
Sprain vs. Tear: What’s the Difference?
A sprain occurs when the ligaments, the tough bands of tissue connecting bones, are stretched too far or slightly torn. Mild sprains typically heal with rest, compression, and gradual return to movement.
A ligament tear, however, goes deeper. The ligament may be fully torn or detached, making the ankle unstable and painful. This type of injury may need longer recovery, structured rehabilitation, or in some cases, surgical repair.
Signs It Could Be More Than a Sprain
While both sprains and tears share similar symptoms, certain signs point to a more serious injury:
- Severe or persistent pain that doesn’t improve after a few days.
- Significant swelling and bruising around the ankle or foot.
- Difficulty bearing weight or feeling like the ankle “gives way.”
- A popping sound or sensation at the moment of injury.
- Limited range of motion and instability while walking.
If any of these sound familiar, it’s best not to dismiss them as a simple sprain. Seeing an orthopaedic specialist can help confirm what’s really going on.
Getting the Right Diagnosis
An accurate diagnosis is key to proper healing. During consultation, your orthopaedic doctor will assess the ankle through a physical exam and may recommend an MRI or ultrasound to check the extent of ligament damage.
This imaging helps distinguish between mild stretching, partial tearing, or complete rupture, and determines whether conservative treatment or surgical repair is needed. Early diagnosis prevents the ligament from healing incorrectly, which can lead to chronic ankle weakness or repeated injuries later on.
How to Care for a Torn Ligament
If a ligament tear is confirmed, the treatment plan usually includes:
- Rest and immobilisation. Using crutches, braces, or a walking boot reduces pressure and allows healing.
- Ice and elevation. These help control swelling and inflammation.
- Physiotherapy. Once pain subsides, guided exercises strengthen the ankle and restore stability.
- Gradual return to activity. Rushing back to sports or high-impact movement can re-injure the tendon.
For severe tears, surgical reconstruction may be discussed, followed by a structured rehabilitation plan.
Preventing Future Ankle Injuries
Once you’ve experienced a ligament tear, your ankle can become more prone to reinjury. Preventive steps can protect your long-term mobility:
- Strengthen the ankle. Balance and resistance exercises build stability.
- Wear proper footwear. Choose shoes that provide support, especially for sports or uneven terrain.
- Warm up before activity. Light stretches and mobility drills reduce strain.
- Listen to pain signals. Discomfort is your body’s warning sign, not something to ignore.
FAQs About Ankle Ligament Tears
1. Can a torn ligament heal without surgery?
Mild or partial tears can often heal with rest, physiotherapy, and gradual strengthening. Complete tears may require surgical repair.
2. How long does recovery usually take?
Recovery time varies, from a few weeks for mild tears to several months for more serious injuries, depending on treatment and adherence to rehab exercises.
3. What happens if I don’t treat a torn ligament?
Untreated tears can cause chronic instability, recurring sprains, and long-term joint wear that increases the risk of arthritis.
4. Can I still exercise while recovering?
Yes, but under guidance. Low-impact activities like swimming or cycling are safer during recovery, while high-impact movements should be avoided until cleared by your doctor.
5. How do I know if I should see an orthopaedic doctor?
If your pain, swelling, or difficulty walking lasts more than a few days, or if you heard a “pop” during injury, it’s best to get checked by an orthopaedic specialist.
Get Back on Your Feet with Orthocare
At Orthocare Orthopaedics & Sports Medicine, Dr Ananda Vella and the team provide comprehensive care for ankle injuries, from sprains to ligament tears. Through careful diagnosis, personalised treatment, and guided rehabilitation, we help patients recover safely and regain confidence in their movement.
If your “simple sprain” isn’t getting better, don’t wait it out. Book a consultation today for strong and pain-free ankles.
